Japanese journal of comprehensive rehabilitation science最新文献

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The Exercise Intervention as Part of Rehabilitation in Intracranial Myxoid Chondrosarcoma: A Case Report 运动干预作为颅内黏液样软骨肉瘤康复的一部分:1例报告
Japanese journal of comprehensive rehabilitation science Pub Date : 2023-03-28 DOI: 10.11648/j.rs.20230801.13
Si-Yu Lu, Jinying Wang, Xing-jin Lin, Zhuo Chen
{"title":"The Exercise Intervention as Part of Rehabilitation in Intracranial Myxoid Chondrosarcoma: A Case Report","authors":"Si-Yu Lu, Jinying Wang, Xing-jin Lin, Zhuo Chen","doi":"10.11648/j.rs.20230801.13","DOIUrl":"https://doi.org/10.11648/j.rs.20230801.13","url":null,"abstract":": Malignant tumors after surgical trauma are frequently presented with unavoidable complications, such as physical dysfunction, decreased motor endurance, bowel disorders and cognitive impairment, and other symptoms. Due to the presence of malignant tumors, patients suffer from not only physical discomfort but also the presence of psychological and mental stress. Trauma often leads to poor emotional control and cannot cooperate with treatment. Exercise can not only change the function of the limbs but also have a positive effect on emotions. This case reports a 28-year-old male who experienced a decline in cognitive function and activities of daily living after undergoing tumor resection and radiotherapy. A year later, he was hospitalized and completed a four-week activity of daily living and exercise rehabilitation training. What’s more, his mood was managed along with the reintegration therapy. As the patient's mood improved, training coordination increased, quality of life and daily living ability gradually improved, and he recovered well during the follow-up period. Given this single case, multi-modal exercise rehabilitation can maintain or improve functional performance and QOL domains even during heavy treatments. When the patient is undergoing exercise rehabilitation, he also needs emotional management, and emotional intervention is required for the patient. Therefore, exercise and the emotional management of patients with malignancy are of great importance.","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"82 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80226860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Construction of the Upper Limb Vocational Ability Assessment System: Based on ICF 基于ICF的上肢职业能力评价体系构建
Japanese journal of comprehensive rehabilitation science Pub Date : 2023-03-16 DOI: 10.11648/j.rs.20230801.12
Lanfang Feng, Xiaomin Liu, Xunwen Lu, Zhong Wei, Qiu Ziyu, Dongsheng Zhang
{"title":"Construction of the Upper Limb Vocational Ability Assessment System: Based on ICF","authors":"Lanfang Feng, Xiaomin Liu, Xunwen Lu, Zhong Wei, Qiu Ziyu, Dongsheng Zhang","doi":"10.11648/j.rs.20230801.12","DOIUrl":"https://doi.org/10.11648/j.rs.20230801.12","url":null,"abstract":": Objective : To initially construct a comprehensive assessment system for upper extremity occupational competence based on the International Classification of Functioning, Disability and Health (ICF), and to provide a reference for the development of comprehensive intervention programs covering physiology, psychology, function and social participation for patients with upper extremity injuries. Methods : Taking the comprehensive ICF core set for vocational rehabilitation as the basic framework, using the Delphi expert correspondence method, after a two-round email-based survey with experts who are experience in clinical, vocational rehabilitation, rehabilitation, nursing. Combined with the statistical results and expert opinions, the index of the ICF upper limb vocational ability evaluation system was finally established. Results : The effective recovery rates of the two rounds of expert correspondence were 95% and 100%; the expert authority coefficients (Cr) were 0.807 and 0.805, and the Kendall coordination coefficients were 0.290 and 0.374 (P<0.001). The average importance value ranged from 3.52-4.48. The variation coefficients ranged from 0.103-0.222, The ICF upper limb vocational ability assessment system include 4 first-level indicators and 41 second-level indicators. Conclusion : The construction process of the ICF upper limb vocational ability assessment system is scientific and reliable, which promotes the clinical application and promotion of the brief version of the ICF core combination, and provides reference for the formulation of the ICF assessment combination for other diseases.","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78401259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in respiratory, physical, and mental conditions in moderate and severe COVID-19 cases at our convalescent rehabilitation ward. 我们康复病房的中重度新冠肺炎病例的呼吸、身体和精神状况变化。
Japanese journal of comprehensive rehabilitation science Pub Date : 2023-03-08 eCollection Date: 2023-01-01 DOI: 10.11336/jjcrs.14.10
Kentaro Akimoto, Shinjiro Asano, Yoshifumi Satoh, Kazutoshi Yokogushi
{"title":"Changes in respiratory, physical, and mental conditions in moderate and severe COVID-19 cases at our convalescent rehabilitation ward.","authors":"Kentaro Akimoto,&nbsp;Shinjiro Asano,&nbsp;Yoshifumi Satoh,&nbsp;Kazutoshi Yokogushi","doi":"10.11336/jjcrs.14.10","DOIUrl":"https://doi.org/10.11336/jjcrs.14.10","url":null,"abstract":"<p><p>Akimoto K, Asano S, Satoh Y, Yokogushi K. Changes in respiratory, physical, and mental conditions in moderate and severe COVID-19 cases at our convalescent rehabilitation ward. Jpn J Compr Rehabil Sci 2023; 14: 10-15.</p><p><strong>Purpose: </strong>This study clarified the changes in respiratory condition, and physical and mental functions pertaining to them, of patients with the coronavirus disease 2019 (\"COVID-19\") who were admitted to our convalescent rehabilitation ward. It also examined the conditions remaining after the disease (long-COVID).</p><p><strong>Methods: </strong>We focused on 16 moderate and severe patients with COVID-19 who were transferred to our convalescent rehabilitation ward and discharged home between March and September 2021. We evaluated the patients' respiratory, physical, and mental conditions at the time of admission, four weeks after admission, and at the time of discharge.</p><p><strong>Results: </strong>We confirmed an improvement in the shortness of breath in those with respiratory conditions, and a significant improvement in the walking distance related to physical function before the time of discharge, but anxiety and depression remained.</p><p><strong>Conclusion: </strong>Patients with moderate to severe COVID-19 can be discharged home after convalescent rehabilitation. Despite improved dyspnea and walking distance, the patients tend to have incomplete recovery, including physical deconditioning, mood disorders, and other long-COVID conditions at discharge.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"14 ","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2023-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585009/pdf/jjcrs-14-10.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcranial Magnetic Stimulation for Post-Stroke Dyslexia 1 Case and Clinical Analysis 经颅磁刺激治疗脑卒中后阅读障碍1例临床分析
Japanese journal of comprehensive rehabilitation science Pub Date : 2023-02-28 DOI: 10.11648/j.rs.20230801.11
Yong Qin Xie, Hong Wang
{"title":"Transcranial Magnetic Stimulation for Post-Stroke Dyslexia 1 Case and Clinical Analysis","authors":"Yong Qin Xie, Hong Wang","doi":"10.11648/j.rs.20230801.11","DOIUrl":"https://doi.org/10.11648/j.rs.20230801.11","url":null,"abstract":"","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88047005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TMS and neocortical neurons: an integrative review on the micro-macro connection in neuroplasticity. TMS与新皮质神经元:神经可塑性中微观-宏观联系的综合综述。
Japanese journal of comprehensive rehabilitation science Pub Date : 2023-01-28 eCollection Date: 2023-01-01 DOI: 10.11336/jjcrs.14.1
Dongting Tian, Shin-Ichi Izumi
{"title":"TMS and neocortical neurons: an integrative review on the micro-macro connection in neuroplasticity.","authors":"Dongting Tian,&nbsp;Shin-Ichi Izumi","doi":"10.11336/jjcrs.14.1","DOIUrl":"https://doi.org/10.11336/jjcrs.14.1","url":null,"abstract":"<p><p>Tian D, Izumi S. TMS and neocortical neurons: an integrative review on the micro-macro connection in neuroplasticity. Jpn J Compr Rehabil Sci 2023; 14: 1-9. Neuroplasticity plays a pivotal role in neuroscience and neurorehabilitation as it bridges the organization and reorganization properties of the brain. Among the numerous neuroplastic protocols, transcranial magnetic stimulation (TMS) is a well-established non-invasive protocol to induce plastic changes in the brain. Here, we review the findings of four plasticity-inducing TMS protocols in the human motor cortex with relatively evident mechanisms: conventional repetitive TMS (rTMS), theta-burst stimulation (TBS), quadripulse stimulation (QPS) and paired associative stimulation (PAS). Based on the reviewed evidence and a preliminary TMS neurocytological model proposed in our previous report, we further integrate the neurophysiological evidence and plasticity rules of these protocols to present an updated micro-macro connection model between neocortical neurons and the neurophysiological evidence in TMS. This prototypical model will guide further efforts to understand the neural circuit of the motor cortex, the mechanisms of TMS, and the advance of neuroplasticity technologies and their outcomes.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"14 ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585015/pdf/jjcrs-14-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Chronic Musculoskeletal Pain and Disability: A Problem of Trapped Lactic Acid 慢性肌肉骨骼疼痛和残疾:被困乳酸的问题
Japanese journal of comprehensive rehabilitation science Pub Date : 2023-01-17 DOI: 10.11648/j.rs.20220704.11
Michael Raymond Binder
{"title":"Chronic Musculoskeletal Pain and Disability: A Problem of Trapped Lactic Acid","authors":"Michael Raymond Binder","doi":"10.11648/j.rs.20220704.11","DOIUrl":"https://doi.org/10.11648/j.rs.20220704.11","url":null,"abstract":"","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74269313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Japanese Dysphagia Diet of 2021 by the Japanese Society of Dysphagia Rehabilitation. 日本吞咽困难康复学会2021年的日本吞咽困难饮食。
Japanese journal of comprehensive rehabilitation science Pub Date : 2022-12-31 eCollection Date: 2022-01-01 DOI: 10.11336/jjcrs.13.64
Jun Kayashita, Ichiro Fujishima, Junko Fujitani, Shouji Hironaka, Akiko Kojo, Miki Mizukami, Naoyuki Senda, Motoki Moriwaki, Emi Watanabe
{"title":"The Japanese Dysphagia Diet of 2021 by the Japanese Society of Dysphagia Rehabilitation.","authors":"Jun Kayashita,&nbsp;Ichiro Fujishima,&nbsp;Junko Fujitani,&nbsp;Shouji Hironaka,&nbsp;Akiko Kojo,&nbsp;Miki Mizukami,&nbsp;Naoyuki Senda,&nbsp;Motoki Moriwaki,&nbsp;Emi Watanabe","doi":"10.11336/jjcrs.13.64","DOIUrl":"https://doi.org/10.11336/jjcrs.13.64","url":null,"abstract":"","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"13 ","pages":"64-77"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545023/pdf/jjcrs-13-64.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Relationship between daily rehabilitation time and functional gain in inpatient rehabilitation medicine of hospitalized older adults with subacute stroke. 亚急性脑卒中住院老年人日常康复时间与住院康复医学功能增益的关系。
Japanese journal of comprehensive rehabilitation science Pub Date : 2022-12-15 eCollection Date: 2022-01-01 DOI: 10.11336/jjcrs.13.56
Tatsuya Igarashi, Shota Hayashi, Kaichi Ogawa, Shinya Matsui, Terutaka Nishimatsu
{"title":"Relationship between daily rehabilitation time and functional gain in inpatient rehabilitation medicine of hospitalized older adults with subacute stroke.","authors":"Tatsuya Igarashi,&nbsp;Shota Hayashi,&nbsp;Kaichi Ogawa,&nbsp;Shinya Matsui,&nbsp;Terutaka Nishimatsu","doi":"10.11336/jjcrs.13.56","DOIUrl":"https://doi.org/10.11336/jjcrs.13.56","url":null,"abstract":"<p><p>Igarashi T, Hayashi S, Ogawa K, Matsui S, Nishimatsu T. Relationship between daily rehabilitation time and functional gain in inpatient rehabilitation medicine of hospitalized older adults with subacute stroke. Jpn J Compr Rehabil Sci 2022; 13: 56-63.</p><p><strong>Objective: </strong>Although there have been reports examining the relationship between daily rehabilitation time and functional gain, few have fully considered background factors such as severity of motor paralysis and comorbidities. This study aimed to examine the relationship between the daily rehabilitation time and improvement in functional status, longitudinally in hospitalized older adults with subacute stroke.</p><p><strong>Method: </strong>From the results of the Functional Independence Measure (FIM), we calculated the FIM gain and FIM effectiveness, a measure that is less sensitive to the ceiling effect of FIM. Adjusted for covariates, multiple regression analysis was performed for daily rehabilitation time and FIM gain and effectiveness.</p><p><strong>Results: </strong>This study enrolled 298 hospitalized older adults with subacute stroke (mean age, 78.1 ± 8.1 years, 112 females). The total scores of functional independence measure gain and effectiveness were 31.6 ± 22.5 points and 54.4 ± 35.2%, respectively. There was an association between FIM gain (total score) and total rehabilitation time (<i>β</i> = 0.29, <i>p</i> < 0.01) and between FIM effectiveness (total score) and total rehabilitation time (<i>β</i> = 0.22, <i>p</i> < 0.01).</p><p><strong>Conclusions: </strong>Although prognosis after stroke is poorer in older adults than in young adults, this study shows that increased daily rehabilitation time may improve functional status.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"13 ","pages":"56-63"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545047/pdf/jjcrs-13-56.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of gait exercise using a walking-assist robot for swing-leg motion in hemiplegic stroke patients: a preliminary study focusing on the immediate effect. 步行辅助机器人步态训练对偏瘫脑卒中患者摆动腿运动的影响:一项着眼于即时效果的初步研究。
Japanese journal of comprehensive rehabilitation science Pub Date : 2022-10-04 eCollection Date: 2022-01-01 DOI: 10.11336/jjcrs.13.49
Ren Fujii, Makoto Tamari, Yuki Nonaka, Fumiaki Tamiya, Hiroshi Hosokawa, Shinichiro Tanaka
{"title":"Influence of gait exercise using a walking-assist robot for swing-leg motion in hemiplegic stroke patients: a preliminary study focusing on the immediate effect.","authors":"Ren Fujii,&nbsp;Makoto Tamari,&nbsp;Yuki Nonaka,&nbsp;Fumiaki Tamiya,&nbsp;Hiroshi Hosokawa,&nbsp;Shinichiro Tanaka","doi":"10.11336/jjcrs.13.49","DOIUrl":"https://doi.org/10.11336/jjcrs.13.49","url":null,"abstract":"<p><p>Fujii R, Tamari M, Nonaka Y, Tamiya F, Hosokawa H, Tanaka S. Influence of gait exercise using a walking-assist robot for swing-leg motion in hemiplegic stroke patients: A preliminary study focusing on the immediate effect. Jpn J Compr Rehabil Sci 2022; 13: 49-55.</p><p><strong>Objective: </strong>We analyzed the effect of gait training using a walking-assist robot that assists a subject's knee joint movement and leg swing to achieve toe clearance of the paralyzed-side lower limb during treadmill walking.</p><p><strong>Methods: </strong>The subjects were 10 hemiplegic stroke patients in a rehabilitation ward. The intervention consisted of gait training using the Welwalk WW-1000 (Welwalk) robot for 40 min. Immediately before and after this intervention, a gait analysis of the patients' treadmill walking was performed by a three-dimensional motion capture system. Statistical analyses compared the foot-to-floor distance and the shortening of hip-toe length (SHTL) of the paralyzed side before and after the intervention, and examined the relationship between the change of lower-limb joint kinematics and toe clearance before and after the intervention.</p><p><strong>Results: </strong>The post-intervention SHTL was significantly lower compared to before the intervention, and there was a significant negative correlation between the change in the SHTL and the knee flexion angle from before to after the intervention.</p><p><strong>Conclusion: </strong>Gait exercise using the Welwalk could contribute to the acquisition of more normal leg-swing strategies.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"13 ","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545025/pdf/jjcrs-13-49.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of polypharmacy at hospital discharge with nutritional intake, muscle strength, and activities of daily living among older patients undergoing convalescent rehabilitation after stroke. 脑卒中后接受恢复期康复的老年患者出院时多药治疗与营养摄入、肌肉力量和日常生活活动的关系。
Japanese journal of comprehensive rehabilitation science Pub Date : 2022-08-31 eCollection Date: 2022-01-01 DOI: 10.11336/jjcrs.13.41
Ayaka Matsumoto, Yoshihiro Yoshimura, Sayuri Shimazu, Fumihiko Nagano, Takahiro Bise, Yoshifumi Kido, Ai Shiraishi, Takako Sunahara
{"title":"Association of polypharmacy at hospital discharge with nutritional intake, muscle strength, and activities of daily living among older patients undergoing convalescent rehabilitation after stroke.","authors":"Ayaka Matsumoto,&nbsp;Yoshihiro Yoshimura,&nbsp;Sayuri Shimazu,&nbsp;Fumihiko Nagano,&nbsp;Takahiro Bise,&nbsp;Yoshifumi Kido,&nbsp;Ai Shiraishi,&nbsp;Takako Sunahara","doi":"10.11336/jjcrs.13.41","DOIUrl":"10.11336/jjcrs.13.41","url":null,"abstract":"<p><p>Matsumoto A, Yoshimura Y, Shimazu S, Nagano F, Bise T, Kido Y, Shiraishi A, Sunahara T. Association of polypharmacy at hospital discharge with nutritional intake, muscle strength, and activities of daily living among older patients undergoing convalescent rehabilitation after stroke. Jpn J Compr Rehabil Sci 2022; 13: 41-48.</p><p><strong>Objective: </strong>To investigate the association between polypharmacy at discharge and nutritional intake, muscle strength, and activities of daily living (ADL) among older patients undergoing convalescent rehabilitation after stroke.</p><p><strong>Methods: </strong>This cross-sectional study involved hospitalized patients aged 65 or older who underwent convalescent rehabilitation after stroke. Polypharmacy was defined as the use of six or more medications. Study outcomes included energy intake, protein intake, handgrip strength (HG), and motor subscore of Functional Independence Measure (FIM-motor) at hospital discharge. Multiple linear regression analysis was used to examine the association between polypharmacy at discharge and outcomes.</p><p><strong>Results: </strong>Of 361 eligible patients (mean [±SD] age, 78.3 ± 7.7 years; 49.3% male), 62.9% had polypharmacy. Multiple regression analysis revealed that polypharmacy at discharge was negatively associated with energy intake (<i>β</i> = -0.122, <i>p</i> = 0.003), protein intake (<i>β</i> = -0.133, <i>p</i> = 0.013), HG (<i>β</i> = -0.070, <i>p</i> = 0.022), and FIM-motor score (<i>β</i> = -0.069, <i>p</i> = 0.031) at discharge.</p><p><strong>Conclusion: </strong>The impact of polypharmacy should be considered when designing nutritional management strategies for rehabilitation patients to maximize rehabilitation outcomes.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"13 ","pages":"41-48"},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10545045/pdf/jjcrs-13-41.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49687276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
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